Individual
REBECA GUAJARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPO, LPO
Contact information
Practice address
11381 MEADOWGLEN LN, HOUSTON, TX 77082-6664
(281) 589-2040
(281) 589-2058
Mailing address
11381 MEADOWGLEN LN, HOUSTON, TX 77082-6664
(281) 589-2040
(281) 589-2058
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
49-12156
TX
224P00000X
Prosthetist
LPO49
TX
Other
Enumeration date
06/12/2014
Last updated
03/09/2017
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